Three Cases of Intentional Deglutition of Foreign Bodies

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  • 故意にえん下した食道・胃異物の３症例
  • コイ ニ エンゲシタ ショクドウ イ イブツ ノ 3 ショウレイ

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The authors experienced three prisoners who intentionally swallowed foreign bodies for attempting suicide and/or escape from prison. Case 1: a 32-year-old man in prison intentionally swallowed a piece of wood rail, 13 cm in length. On esophagography, the foreign body was found in the esophagus. Esophagoscopy revealed that the foreign body had already dropped into the stomach, and it was removed through a transabdominal operation. Case 2: a 42-year-old man in prison intentionally swallowed a ball-point pen, the lid of a chopstick case, a nail and his molar tooth. On X-ray examination of the chest and abdomen, the foreign bodies except the nail were found in the esophagus, while the latter was in the stomach. The foreign bodies were removed endoscopically. Case 3: a 37-year-old man in prison intentionally swallowed a key hole of a window and a handle of a desk a year and a half prior to examination. Later X-ray examination showed spontaneous extrication of the latter.<BR>In general, prisoners, mentally deranged persons and attempters of suicide, swallow various types of foreign bodies intentionally, and multiple foreign bodies are often found in the upper alimentary tract. The authors emphasized that the preoperative detailed X-ray examination is necessary for diagnosis and choice of treatments.

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